Search › California › 225100000X
Keoni Stallworth, DPT
NPI 1154163186 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1640 Marengo St Hba 102
Los Angeles, CA 90089 - Phone
- (323) 865-1200
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 2251S0007X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California